what's in your wallet? let me guess, am on the naughty list again? ho ho ho! let me guess, am on the naughty list again? you know it can be harto lbreathe, and how that feels.e, copd includes ronic bronchitis and emphysema. spirivhelps control my copd symptoms by keeping my airways open for 24 hours. pspiriva is the only once-daily. inhaled copd maintenance trtment that does both. spiriva handihaler tiotropium bromide inhalation powder inhaled copd maintenance trtment that does both. does not replace fast-acting inhalers for sudden sytoms. tell your doctor if you have kidney problems, glaucoma, trouble urinating, or an enlarged prostate. these may worsen with spiriva. discuss all medicines you take, even eye drops. stop taking spiriva and seek immediate medical help if your breathing suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain, or problems passing urine. other side effects include dry mouth and constipation. nothing can reverse copd spiriva helps me breathe better.